Amy E Crosson, NP is a medicare enrolled "Nurse Practitioner - Family" physician in South Bend, Indiana. Her current practice location is
211 N Eddy St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 234-8161.
Amy E Crosson is licensed to practice in Indiana (license number 71002016A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982854741.
Physician's Profile
Full Name | Amy E Crosson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 211 N Eddy St, South Bend, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982854741
- Provider Enumeration Date: 09/29/2008
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779891734
- Enrollment ID: I20150924003012
Medical Identifiers
Medical identifiers for Amy E Crosson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982854741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 71002016 (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71002016A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy E Crosson allows following entities to bill medicare on her behalf.
Entity Name | The South Bend Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy E Crosson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy E Crosson, NP 211 N Eddy St, South Bend, IN 46617-2808 Ph: (574) 234-8161 | Amy E Crosson, NP 211 N Eddy St, South Bend, IN 46617-3096 Ph: (574) 234-8161 |
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